HESI RN
RN HESI Obstetrics and Pediatrics Exam 2 Questions
Extract:
Question 1 of 5
A 12-year-old boy with hemophilia is hospitalized for hemarthrosis of his right knee. He is complaining of severe knee pain. Which intervention should the nurse implement?
Correct Answer: A
Rationale: Elevating and immobilizing the knee in a flexed position minimizes movement, reducing pain and further bleeding in hemarthrosis.
Question 2 of 5
The nurse is caring for a school-age child with cystic fibrosis and reviews the admission medication prescriptions. Which medication should the nurse obtain a prescription for to be administered with every meal?
Correct Answer: C
Rationale: Pancreatic enzymes are essential for children with cystic fibrosis to aid digestion due to pancreatic insufficiency, and they must be taken with every meal.
Question 3 of 5
The nurse knows that a shunt procedure is the therapy of choice in almost all cases of hydrocephalus. Which is the most common reason for revision of a child's ventriculoperitoneal shunt?
Correct Answer: C
Rationale: Malfunction of the valves is the most common reason for ventriculoperitoneal shunt revision, as valves can become blocked or stuck, leading to inadequate or excessive cerebrospinal fluid drainage.
Question 4 of 5
A mother brings her male pre-schooler to the clinic because he has had diarrhea, vomiting, and high fevers for the past three days. The child begins to cry and cling to his mother when the nurse enters the examination room. Which action should the nurse implement to get the child to cooperate?
Correct Answer: C
Rationale: Talking to the mother and focusing on the child's toy builds trust and creates a calming environment, increasing cooperation by reducing anxiety.
Question 5 of 5
The school nurse is planning a class for a group of adolescents about achieving and maintaining a healthy weight. Which intervention should the nurse recommend as the best way to lose weight and build lean body mass when eating a healthy diet?
Correct Answer: A
Rationale: Consuming high-protein foods supports muscle growth and repair, aiding weight loss while preserving lean body mass, which is critical for healthy weight management.